Maureen L Wiese is a Specialist in Portland, Oregon. Maureen L Wiese practices all healthcare services and medical treatments related to Specialist. The NPI Number for Maureen L Wiese is 1003978610. The last update date is 2007-07-09.
Maureen L Wiese's current location address is 11211 Se 82nd, Ave, Portland, Oregon. You can contact this provider via phone number 5036538700 and fax number 5036538739. The mailing address for Maureen L Wiese is 11211 Se 82nd, Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maureen L Wiese |
|---|---|
| Address | 11211 Se 82nd, Ave, Portland, Oregon |
| Phone Number | 5036538700 |
| Fax Number | 5036538739 |
| Sole Proprietor | Y |
| Credentials | C.PED |
NPI Number Detail
| NPI Number | 1003978610 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11211 Se 82nd, Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97266 |
| Phone Number | 5036538700 |
| Fax Number | 5036538739 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 229276 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maureen L Wiese by the Centers for Medicare & Medicaid Services?
The Maureen L Wiese has been assigned the NPI (National Provider Identifier) 1003978610 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Maureen L Wiese's facilities are geographically located?
The facilities of Maureen L Wiese are physically situated at the following location: 11211 Se 82Nd, Ave, Portland, OR, 97266.
What is the Maureen L Wiese's specialty and taxonomy code?
The Maureen L Wiese's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Maureen L Wiese receive its 1003978610 assignment from the Centers for Medicare & Medicaid Services?
The Maureen L Wiese was assigned its 1003978610 on 2006-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Maureen L Wiese, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maureen L Wiese, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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